Free for Life Group Corp

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FREE FOR LIFE GROUP CORP

Practice address

1305 W Redbud Dr
Hurst, TX 76053-6122

Phone

(817) 501-5102

NPI assigned

Jul 31, 2024

Last updated

Jul 31, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Van Eric Martin, LPC

Title

Director

Phone

(817) 501-5102

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1376372862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 W REDBUD DR",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760536122",
            "telephone_number": "817-501-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 W REDBUD DR",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760536122",
            "telephone_number": "817-501-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE FOR LIFE GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "VAN",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-501-5102",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Bevan Fowler, OD
• Sharon Gail Fowler, FNP
• Alyssa Fox
• Jerry L Franco Jr., PTA
• Randall Glenn Franklin Jr., RMT
• Persephanie Jayne Freeman, L.M.T.
• George Fritts Jr., LPC
• Frusher Internal Medicine
• Ft. Worth Spinal Decompression Center, P.C.
• Marcy Ann Fuentes, COTA

• Community/Behavioral Health Agency in Hurst, TX
• Providers in Hurst, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.